NPI 1083876502
Patrickgrapevine
Practice location
- Address
- 1833 South Third Street, Memphis, TN 38109
- Phone
- (901) 550-1011
- Mailing address
- 1833 S 3rd St, Memphis, TN 38109-7717
Authorised official
- Name
- Coleman Thompson
- Title
- President Ceo
- Phone
- (901) 550-1011
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1083876502
- Entity type
- Organization
- NPI issued
- 26 Jun 2008
- Record last updated
- 26 Jun 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.